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New rules would amend an Affordable Care Act provision to allow more women to obtain contraceptive services at no cost. The Department of Health and Human Services (HHS) and the Departments of Labor and the Treasury (Departments) released new rules Jan. 31 that would amend the Affordable Care Act (ACA) regarding coverage of certain contraceptive […]
The post Feds Propose to Expand Birth Control Coverage appeared first on AAPC Knowledge Center.
More safeguards are needed to strengthen program integrity. The U.S. Department of Health and Human Services’ (HHS’) Office of Inspector General’s (OIG) Pandemic Response Accountability Committee (PRAC) Health Care Subgroup issued a report, December 2022, revealing telehealth use and integrity risks in six federal agencies during the first year of the COVID-19 public health emergency (PHE). […]
The post OIG: Feds Lack Oversight of Telehealth Services appeared first on AAPC Knowledge Center.
Medical practitioners in Michigan are held responsible for their role in Medicare fraud scheme. On Aug. 24, U.S. Attorney Andrew B. Birge announced criminal and civil enforcement actions against four Michigan medical practitioners for their role in perpetuating a telemedicine scheme to defraud Medicare. The practitioners signed off on illegitimate orders for medical braces and […]
The post Feds and U.S. Attorneys Continue to Crack Down on Telemedicine Fraud appeared first on AAPC Knowledge Center.
Interim final rule lays groundwork for implementing No Surprises Act by 2022. On July 1 the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued Requirements Related to Surprise Billing; Part I, an interim final rule (IFR) that is a first step toward implementing the No […]
The post Feds Act to Regulate Surprise Billing appeared first on AAPC Knowledge Center.
Two final rules make value-based programs less of a liability for physicians. The Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) announced, Nov. 20, coordinated efforts to revise the physician self-referral law, or Stark law, and anti-kickback statute through rulemaking to make value-based programs less risky for healthcare providers to […]
The post Feds Revise Stark Law and Anti-kickback Statute appeared first on AAPC Knowledge Center.
The DOJ wants healthcare organizations to have an effective compliance plan.
The post Feds Want to See Compliance Plans in Action appeared first on AAPC Knowledge Center.
An unprecedented “relaxation” in regulatory guidelines will give U.S. hospitals and non-traditional care sites a fighting chance to meet the high demand of COVID-19 hospitalizations expected in the coming weeks. The Trump administration issued, March 30, regulatory waivers and guidelines in the form of an interim final rule, to be implemented immediately. Loosening Criteria for […]
The post Feds Extend Medicare Coverage During COVID-19 Pandemic appeared first on AAPC Knowledge Center.
Federal Government Alleges Kickback Scheme The Department of Justice (DOJ) intervened in a whistleblower lawsuit against Questcor Pharmaceuticals, now a part of Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. The federal government alleges that the drug company Mallinckrodt engaged in fraudulent behavior that directly violates the False Claims Act by using a charitable foundation […]
The post Drug Company Used Charity Foundation as Kickback Conduit Alleges Whistleblower Lawsuit, Feds Agree appeared first on AAPC Knowledge Center.
Federal and State Prosecutors are moving to file lawsuits charging Tennessee Senator Steve Dickerson and different proprietors of an immense Pain Management corporation of cheating the US Government with long stretches of unjustified tests, untrustworthy charging, and forged documents.
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The post Feds to sue Senator Steve Dickerson and other Pain Clinic proprietors over Forgery and Fraud Allegations appeared first on The Coding Network.
How much do you charge your patients or their designated third parties for medical records? Better take a look and check your state laws, the General Accounting Office (GAO) just turned their eagle eyes on how much it costs patients and others to access records. Medical Records Study Thanks to the 21st Century Cures Act, the GAO […]
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